Provider Demographics
NPI:1790757045
Name:JEFFRIES, ERIC M (MD)
Entity Type:Individual
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First Name:ERIC
Middle Name:M
Last Name:JEFFRIES
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8555 16TH ST
Mailing Address - Street 2:SUTE 310
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-2816
Mailing Address - Country:US
Mailing Address - Phone:301-562-7200
Mailing Address - Fax:301-565-6771
Practice Address - Street 1:2730 UNIVERSITY BLVD W
Practice Address - Street 2:SUITE 410
Practice Address - City:WHEATON
Practice Address - State:MD
Practice Address - Zip Code:20902-1905
Practice Address - Country:US
Practice Address - Phone:301-562-7200
Practice Address - Fax:301-946-4150
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2012-11-19
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Provider Licenses
StateLicense IDTaxonomies
DCMD0346842084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
I05846Medicare UPIN